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Adenoid removal (child) in Georgia: what insurers pay

Posted commercial rates at 35 Georgia hospitals, each next to its own Medicare base rate.

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CPT 42830

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Gordon Calhoun$2,4390.8×42026-04-01
Adventhealth Murray Chatsworth$2,5350.8×32026-04-01
Atrium Health Navicent Peach Byron$2,8361.0×22025-11-19
Atrium Health Floyd Medical Center Rome$3,4161.0×22025-11-19
St Francis Hospital- Emory Healthcare Columbus$3,4221.2×52026-04-01
Atrium Health Navicent The Medical Center Macon$3,4941.2×62025-11-19
Tanner Medical Center - Carrollton Carrollton$3,6401.1×12026-03-24
Tanner Medical Center Villa Rica Villa Rica$3,8061.1×22026-03-24
Jefferson Hospital Louisville$3,8731.3×72026-04-14
Navicent Health Baldwin Milledgeville$4,0201.4×32025-11-19
Memorial Health Meadows Hospital Vidalia$4,5161.6×72026-09-01
Doctors Hospital Augusta$4,6801.6×72026-09-01
Emory Houston Hospital Warner Robins Warner Robins$5,0511.7×32026-04-01
Emory Hillandale Hospital Lithonia$5,3211.6×42026-04-01
Fairview Park Hospital Dublin$5,4001.9×92026-09-01
Memorial Satilla Health Waycross$5,5081.9×72026-09-01
Adventhealth Redmond Rome$5,6641.6×52026-04-01
Emory University Hospital Atlanta$5,8901.8×62026-04-01
Emory Decatur Hospital Decatur$5,8901.8×62026-04-01
Emory Saint Joseph's Hospital Atlanta$5,8901.8×62026-04-01
Emory University Hospital Midtown Atlanta$5,8901.8×62026-04-01
Emory Johns Creek Hospital Johns Creek$5,8901.8×62026-04-01
Wellstar West Georgia Medical Center Lagrange$6,1792.1×52026-04-01
Wellstar Spalding Medical Center Griffin$6,1791.9×52026-04-01
Wellstar Kennestone Hospital Marietta$6,1791.8×52026-04-01
Wellstar Paulding Medical Center Hiram$6,1791.8×52026-04-01
Wellstar Cobb Medical Center Austell$6,1791.8×52026-04-01
Wellstar Douglas Medical Center Douglasville$6,1791.9×52026-04-01
Wellstar North Fulton Hospital Roswell$6,1791.9×52026-04-01
Wellstar Sylvan Grove Medical Center Jackson$6,1791.9×52026-04-01
East Georgia Regional Medical Center Statesboro$12,5624.3×52026-04-01
Northeast Georgia Medical Center, Inc Gainesville$17,9725.7×22026-04-01
Northeast Georgia Medical Center Habersham Demorest$17,9726.2×22026-04-01
Northeast Georgia Medical Center Barrow Winder$17,9725.4×22026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$17,9725.4×22026-04-01

Questions

How much do insurers pay for adenoid removal (child) in Georgia?

35 Georgia hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 35 hospitals is $5,890, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.